Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.18 / $115.18 / $217.47	Facility		$115.18	$115.18	$217.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $217.67 / $420.00	Professional		$153.19	$217.67	$420.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $231.39 / $296.08 / $772.00	Professional	25	$231.39	$296.08	$772.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $504.09 / $821.41	Facility		$137.47	$504.09	$821.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $233.34 / $338.47	Professional		$173.18	$233.34	$338.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.38 / $276.73 / $423.98	Professional		$191.38	$276.73	$423.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $284.30	Professional		$32.34	$32.34	$284.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.90 / $215.79 / $283.33	Facility		$151.90	$215.79	$283.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $270.02 / $401.41	Professional		$171.78	$270.02	$401.41
United Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $346.80 / $489.60	Professional		$277.75	$346.80	$489.60